Legacy Estate Long Term Care
10133 HWY 16 N, Comanche, TX, 76442
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district
- Certified beds
- 100 · avg 62 residents/day
State licensing & capacity
- License number
- 311966
- Service type
- Medicare/medicaid
- Licensed capacity
- 100 beds
- Bed type breakdown
- 100 Medicaid/Medicare
- Current license effective
- May 24, 2025
- Current license expires
- May 24, 2028
- Initial license date
- May 24, 2024
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Comanche County Consolidated Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Administrator
- Elizabeth Stark
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (2 on record)
- Guyle p Donham
Adp of The Snf · since 2024
- Elizabeth n Stark
Corporate Officer · since 2024
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 3 of 3)
- F0851·Jul 1, 2025Complaint
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- F0812·Jul 1, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0656·Jul 1, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Fire-safety citations
2 Life-Safety-Code citations on file. Most recent: Jul 1, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Legacy Estate Long Term Care is a 100-bed government-run nursing home in Comanche, TX, licensed to Comanche County Consolidated Hospital District. CMS rates it 4 stars overall, with a 5-star staffing rating — among the top 2% of Texas nursing homes on staffing. Quality-of-care outcomes rate 1 star overall, a meaningful gap from its staffing performance. The facility is currently operating at about 62% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
Staffing rates 5 stars — roughly the top 2% of Texas nursing homes on this measure. Each resident receives about 248 minutes of nursing care per day, above the 241-minute threshold for a 4-star-staffing facility in Texas. Staff hours per resident also exceed what a typical resident mix would require, meaning these hours aren't being stretched thin by an unusually dependent population.
The quality-of-care rating tells a different story: 1 star overall on quality measures, with a 2-star rating for long-stay residents and 1 star for short-stay residents. That combination — strong staffing, low outcome scores — points to a question about how care is being planned and monitored, rather than whether enough hands are present.
The facility is operating at about 62% of its 100 licensed beds, with roughly 62 residents on an average day. All 100 beds are certified for both Medicare and Medicaid.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing versus outcomes gap
CMS rates staffing 5 stars but quality outcomes 1 star — ask how the facility tracks whether nursing hours are translating into measurable improvements in resident health.
Short-stay quality score
The 1-star short-stay quality rating covers residents recovering from surgery or illness — ask which specific measures drive that score and what the facility is doing to address them.
Current occupancy and waitlists
With about 62 of 100 beds filled, ask whether low occupancy reflects a recent opening, a pause on admissions, or another operational factor.
License issued in 2024
The initial license date is May 2024, making this a relatively new operation — ask how long the current clinical leadership and care team have been in place.
Resident Council participation
The facility has a Resident Council but no Family Council — ask how family members can formally raise concerns or participate in care reviews outside of individual care conferences.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.